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Individual

ROBERT PURKIEWICZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
511 SW 10TH AVE STE 1108, PORTLAND, OR 97205-2713
(503) 224-6800
Mailing address
1129 SW WASHINGTON ST APT 205, PORTLAND, OR 97205-2316

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary

Other

Enumeration date
08/02/2016
Last updated
08/02/2016
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